| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $102.33 | $1,412.54 | |
CareSource
| Facility | $107.15 | $107.15 | $128.82 | |
Cigna
| Facility | $173.78 | $173.78 | $1,659.59 | |
United
| Facility | $2,454.71 | $2,454.71 | $6,606.93 |